Laserfiche WebLink
� <br />�. <br />u,�•e�'c;��oF � _ L���r�R4'�tr��o�� <br />�everett P E R M i'T <br />CITY HAIL 259�8745 <br />E\'LRETf.N1A9B201 ❑ COMBINATION � BUIL�ING ❑ MECHANICAL <br />Hi� Video Palace <br />Mna nooaess <br />7601 Evergreen Way Suite B <br />PERMIT N0. 1-3673 <br />❑ PLUMBING <br />ZIP <br />Everett 98203 <br />355-1909 <br />�� - MAIL AD�RE55 --- <br />GENERAL CONTflACTOf� Edmonds 9a�Z� 774-1964 <br />Jlill blanning & Assoc. 5003 220th $.�'�. CITY Z�P pHONE LICENSEN <br />MECMANICALCONTRAGTOR <br />h1AIL P.�DRESS JiH]j.]�2OSi`iB <br />Z�p PMONE LILEI�SE N <br />CLASS OF WORM. <br />XSNEIN ❑ AODITION ❑ AL7ERATION O REPAIR ❑ DEMOLITIOY ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />5 <br />ESCOI�E WORK <br />Install. <br />ROPO>EO U5`_ OF BUILOING <br />Retail <br />.EGAL DESCFIPTION OF PROPEF <br />LOT�BLOCK__OF <br />7601 Everg <br />PL"JMBIN <br />NO. TYPE C <br />WATERGLOSE7 <br />BATHTUB <br />OR <br />SHOINER <br />KITCHEIJ SINK 8 DISP. <br />DISHWAShIEP <br />LAUNORY TfiAY <br />CLOTHESWASHER _ <br />WATER HEATER <br />UfiINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VhCUUM BREAKE�3 __ <br />4500F DRAINS — RAINLEADERS <br />I Sh�K ISERVICE — BAR, ETC.1 <br />SUB TO <br />PERMIT <br />TOTAL <br />1. ENVIRONh1EN7Al GHECK LIST _ <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECTION SYS7EM <br />5. GRNOIN��_ <br />6. DFAINAGE <br />, ..�„�o...�ucurei u.nPACTSTATEMENT <br />0. HEALTH �ISTRICT <br />noai IGnTION ACG. <br />� <br />5 <br />5 <br />iEAfi YAAG 5ET8 <br />!ACANT SI7E <br />YES ;:.NO <br />VO. OF DWELLIN <br />MAX.00C.LOAD <br />FIFE SPRINKLEF <br />REOUIRED <br />,.�� -nin <br />FOR <br />I HEREBY CERTIFY THAT I FIAVE READ A�:D EXAMINED THIS <br />APPLICATION AND KNOW THE SAME i0 BE TRUE APJD <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINAIvCeS <br />GOVERNING THIS TYPE OF WORK WILL BE CUMPLIC-D :"JITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO V!OLATE <br />OR CANCEL THE PROVISIONS OF ANY' UTHER STATE OR <br />LOCAL LAW REGU�ATING CONSTFiUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. onre <br />SIGN U OP CONTPACTOFyQR AUT REO ENT <br />X 6 �� _-� �-,--� _ <br />NO. TYPE OF EOUIPMerv i <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS -_H_P. EA. <br />BOILERS — H.P.EA. <br />GAS FIRED 0..C. UNITS — TONNAGE EA. <br />FOFCED AIR SYSTEMS — B.T.U. M EA. <br />\ti'ALL HEA7ERS — B.L=_ <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />GLOTHES DRYERS <br />VENTILATION FAN <br />PANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — �"1�OD <br />METAL FIREPLACE fl CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTA� <br />PERMIT S <br />fOTAL PEE S <br />pLAN GHtun rvumo�., � qECEIPT NG. <br />�FEE <br />�-- FEEg — VALUATION I FEE _ <br />BUILDING S 1BOO. lfl— <br />PLUMBING — <br />M�CHANICAL <br />OTHER <br />U.B.C. <br />PENALTY SEC. 90� (a) <br />— 9 00 <br />TOIAL �� <br />PERMIT VALIDA710N � p q iT SY <br />WHEN PFOPEFLY VALIDA7ED (IN THIS Sv4CE) THIS \S x' I� �r, �_ � <br />� U � f' <br />�� <br />( �`.! <br />n'.i..'{�I'�-� <br />, i� <br />ADDRe�S FII.F <br />� � <br />1 ��- L =� <br />1 <br />�j <br />• <br />� <br />